Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions
Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spin...
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Veröffentlicht in: | Archiv f r Psychiatrie und Nervenkrankheiten 1983-06, Vol.233 (2), p.103-110 |
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description | Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spinal evoked potentials, as well as peripheral nerve action potentials, revealed in two cases (herpes zoster, Guillain-Barré syndrome) a site of lesion at the spinal roots suggesting radiculitis and in one case (tick bite) a site of lesion central to the source of lumbar evoked potentials suggesting myelitis. In all cases almost complete recovery of sensory conduction velocities suggests a complete repair myelination not previously described. |
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Simultaneous recording of cortical and spinal evoked potentials, as well as peripheral nerve action potentials, revealed in two cases (herpes zoster, Guillain-Barré syndrome) a site of lesion at the spinal roots suggesting radiculitis and in one case (tick bite) a site of lesion central to the source of lumbar evoked potentials suggesting myelitis. In all cases almost complete recovery of sensory conduction velocities suggests a complete repair myelination not previously described.</description><identifier>ISSN: 0003-9373</identifier><identifier>EISSN: 1433-8491</identifier><identifier>DOI: 10.1007/BF00343431</identifier><identifier>PMID: 6882180</identifier><language>eng</language><publisher>Germany</publisher><subject>Adolescent ; Adult ; Aged ; Diagnosis, Differential ; Evoked Potentials, Somatosensory ; Female ; Herpes Zoster - diagnosis ; Humans ; Male ; Median Nerve - physiopathology ; Myelitis - diagnosis ; Neural Conduction ; Polyradiculoneuropathy - diagnosis ; Radiculopathy - diagnosis ; Radiculopathy - physiopathology ; Spinal Cord - physiopathology ; Spinal Nerve Roots - physiopathology ; Tibial Nerve - physiopathology ; Tick Toxicoses - diagnosis</subject><ispartof>Archiv f r Psychiatrie und Nervenkrankheiten, 1983-06, Vol.233 (2), p.103-110</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c251t-c2f4485ba1dc5217593e209ef66999461107c2e2c2ac95b95c48dc77d4cfba73</citedby><cites>FETCH-LOGICAL-c251t-c2f4485ba1dc5217593e209ef66999461107c2e2c2ac95b95c48dc77d4cfba73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6882180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stöhr, M</creatorcontrib><creatorcontrib>Buettner, U W</creatorcontrib><creatorcontrib>Wiethölter, H</creatorcontrib><creatorcontrib>Riffel, B</creatorcontrib><title>Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions</title><title>Archiv f r Psychiatrie und Nervenkrankheiten</title><addtitle>Arch Psychiatr Nervenkr (1970)</addtitle><description>Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. 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In all cases almost complete recovery of sensory conduction velocities suggests a complete repair myelination not previously described.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Diagnosis, Differential</subject><subject>Evoked Potentials, Somatosensory</subject><subject>Female</subject><subject>Herpes Zoster - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Median Nerve - physiopathology</subject><subject>Myelitis - diagnosis</subject><subject>Neural Conduction</subject><subject>Polyradiculoneuropathy - diagnosis</subject><subject>Radiculopathy - diagnosis</subject><subject>Radiculopathy - physiopathology</subject><subject>Spinal Cord - physiopathology</subject><subject>Spinal Nerve Roots - physiopathology</subject><subject>Tibial Nerve - physiopathology</subject><subject>Tick Toxicoses - diagnosis</subject><issn>0003-9373</issn><issn>1433-8491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNUE1LAzEQDaLUWr14F3IWVvO52Ry1WBUKXnpfsvko0W6yJNuCf8FfbWqLysAM8-a9B_MAuMboDiMk7h8XCFFWCp-AKWaUVg2T-BRMUcErSQU9Bxc5vyPEZY3xBEzqpiG4QVPwNY9954M1MFkdk_FhnWF0UMd-iNtgYLBpZ6HSo48BDnG0YfRqk6Eqtzz4oDZwr4N2Fz-Kyz-GD9B452w6AGVR6xCz__E_SlOMI9zYXMzzJThzRWevjnMGVoun1fylWr49v84flpUmHI-lO8Ya3ilsNCdYcEktQdK6upZSsvIfEppYoonSkneSa9YYLYRh2nVK0Bm4PdjqFHNO1rVD8r1Kny1G7T7O9i_OQr45kIdt11vzSz3mR78BBedyzQ</recordid><startdate>198306</startdate><enddate>198306</enddate><creator>Stöhr, M</creator><creator>Buettner, U W</creator><creator>Wiethölter, H</creator><creator>Riffel, B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>198306</creationdate><title>Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions</title><author>Stöhr, M ; Buettner, U W ; Wiethölter, H ; Riffel, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c251t-c2f4485ba1dc5217593e209ef66999461107c2e2c2ac95b95c48dc77d4cfba73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Diagnosis, Differential</topic><topic>Evoked Potentials, Somatosensory</topic><topic>Female</topic><topic>Herpes Zoster - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Median Nerve - physiopathology</topic><topic>Myelitis - diagnosis</topic><topic>Neural Conduction</topic><topic>Polyradiculoneuropathy - diagnosis</topic><topic>Radiculopathy - diagnosis</topic><topic>Radiculopathy - physiopathology</topic><topic>Spinal Cord - physiopathology</topic><topic>Spinal Nerve Roots - physiopathology</topic><topic>Tibial Nerve - physiopathology</topic><topic>Tick Toxicoses - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stöhr, M</creatorcontrib><creatorcontrib>Buettner, U W</creatorcontrib><creatorcontrib>Wiethölter, H</creatorcontrib><creatorcontrib>Riffel, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Archiv f r Psychiatrie und Nervenkrankheiten</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stöhr, M</au><au>Buettner, U W</au><au>Wiethölter, H</au><au>Riffel, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions</atitle><jtitle>Archiv f r Psychiatrie und Nervenkrankheiten</jtitle><addtitle>Arch Psychiatr Nervenkr (1970)</addtitle><date>1983-06</date><risdate>1983</risdate><volume>233</volume><issue>2</issue><spage>103</spage><epage>110</epage><pages>103-110</pages><issn>0003-9373</issn><eissn>1433-8491</eissn><abstract>Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spinal evoked potentials, as well as peripheral nerve action potentials, revealed in two cases (herpes zoster, Guillain-Barré syndrome) a site of lesion at the spinal roots suggesting radiculitis and in one case (tick bite) a site of lesion central to the source of lumbar evoked potentials suggesting myelitis. In all cases almost complete recovery of sensory conduction velocities suggests a complete repair myelination not previously described.</abstract><cop>Germany</cop><pmid>6882180</pmid><doi>10.1007/BF00343431</doi><tpages>8</tpages></addata></record> |
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subjects | Adolescent Adult Aged Diagnosis, Differential Evoked Potentials, Somatosensory Female Herpes Zoster - diagnosis Humans Male Median Nerve - physiopathology Myelitis - diagnosis Neural Conduction Polyradiculoneuropathy - diagnosis Radiculopathy - diagnosis Radiculopathy - physiopathology Spinal Cord - physiopathology Spinal Nerve Roots - physiopathology Tibial Nerve - physiopathology Tick Toxicoses - diagnosis |
title | Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions |
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